Provider Demographics
NPI:1316233166
Name:SAUVIE, JANE MARIE (OTRL)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:MARIE
Last Name:SAUVIE
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3645 HERMANSAU DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2521
Mailing Address - Country:US
Mailing Address - Phone:989-992-7693
Mailing Address - Fax:989-753-2045
Practice Address - Street 1:3645 HERMANSAU DR
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2521
Practice Address - Country:US
Practice Address - Phone:989-992-7693
Practice Address - Fax:989-753-2045
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201003931225X00000X
MI5316225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation